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    Öğe
    Management of Reconstruction of the Columella in Open Rhinoplasty Procedure: Using b-Shaped Columellar Strut Graft
    (2023) Savas, Seckin Aydin
    Objective: The columellar strut graft (CSG) can help to correct nasal tip (NT) deformities in rhinoplasty. The value of using the CSG technique as a routine procedure in rhinoplasty is still being debated. The reason for this ambivalence is the increased rotation effect of a CSG on the NT. In this article, “b” (small letter “B”) shaped CSG was prepared differently from the traditional CSG, and two different designs of CSGs were compared in terms of nasolabial angles. Method: A total of 99 patients who were operated on using CSG between September 2018 and March 2020 were included in this study. We analyzed preoperative and postoperative lateral views of photographs and case histories of 99 patients. Traditional shape and b-shaped CSGs were used for 33 (33.3%) and 66 (66.6%) of the total patients, respectively. The groups of traditional shaped and b-shaped CSGs were compared with statistical analysis. Results: When postoperative nasolabial angles were evaluated, it was found that 36.4% and 7.6% of the nasolabial angles were above the optimal range in the traditional strut graft group and b-shaped CSG group, respectively. Wide-nasolabialangles were observed to be more common in cases with traditional strut grafts than in cases with b-Shaped CSG. The b-shaped CSG provided gain optimal projection without extended rotation. The difference between the two groups was statistically significant (p=0.00). Conclusion: The overall conclusion derived from this research is that an optimally shaped columella can be obtained using a b-shaped CSG without overrotation of the NT.
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    Öğe
    The effects of the COVID-19 pandemic on patient application to outpatient plastic surgery clinics and management of treatments: a retrospective comparative study
    (2022) Savas, Seckin Aydin
    Aim: The aim of this study was to show the differences in patient profile and treatment selections in outpatient plastic surgery clinic, by comparing the pre-pandemic and the pandemic period for one-year processes.Methods: The patients who applied to outpatient clinic of plastic surgery during the pre-pandemic and pandemic periods were included in the study. The data related to demographic characteristics, reasons for application of outpatient plastic surgery clinic, pre-diagnosis and treatment modalities outpatient or inpatient - were collected retrospectively.Results: It was observed that there was a significant numerical difference in the number of applications of the patients between the pre-pandemic and the pandemic periods. The application rate of females decreased, while the rate of males increased during the pandemic period. When we examined the application rates in the age groups, the patient application rates in the 12-18, 18-25, and 25-40 age groups increased. In the other age groups, the patient application rates were decreased (p<0,01). When the reasons for patient application were examined one by one, the burn injury rate remains the same, while acute-chronic wounds, maxillofacial trauma and other reasons rates increased (p<0,001). When the outpatient and inpatient treatment rates were compared, the outpatient treatment rate increased, while the inpatient treatment rate decreased (p<0,001).Conclusion: This study shows the changes in the applications of patients and preferences of treatments during the pandemic period compared to the pre-pandemic period.